Adult fluid

Question 1

What is the SBP aim for haemorrhagic hypovolaemia?

Answer 1

> 70mmHg

Question 2

How much fluid is given for a pt with haemorrhagic hypovolaemia?

Answer 2

If SBP <70mmHg:
250mL Bolus Normal Saline IV TTR
review after each bolus.
Rpt 250mL bolus until SBP >70mmHg (MAX 2L).

Consult for further doses.

Question 3

What is the target SBP for pts with anaphylaxis who are also hypotensive?

Answer 3

SBP > 90mmHg

Question 4

When do we treat an isolated SCI with fluids?

Answer 4

When SBP < 90mmHg

Question 5

What dose of normal saline is given to an isolated SCI?

Answer 5

If SBP < 90mmHg:
10mL/kg TTR

Question 6

What is the dose of normal saline given to an anaphylaxis pt with hypotension?

Answer 6

If SBP < 90mmHg:
40mL/kg IV TTR
Consult for further doses.
If consult U/A rpt 20mL/kg TTR

Question 7

When do you treat Sepsis with normal saline?

Answer 7

If SBP < 90mmHg

Question 8

What is the dose for normal saline in sepsis?

Answer 8

If SBP < 90mmHg:
Risk of fluid OL : 500mL TTR
All other adults : 1000mL TTR

Question 9

What is the target SBP for a traumatic head injury?

Answer 9

SBP > 120mmHg

Question 10

What is the dose of normal saline for a traumatic head injury?

Answer 10

If SBP < 120mmHg:
40mL/kg IV TTR
If SBP remains < 100mmHg after initial 40mL/kg consult for further dose.
If consult U/A rpt. 20mL/kg TTR.

Question 11

What is the dose for normal saline for Shock?

Answer 11

Inadequate / extremely poor perfusion:
Risk of fluid overload: 1000mL TTR
All other adults: 2000mL TTR

Question 12

When do you give fluids regardless of BP?

Answer 12

• Diving related emergencies (decompression illness)
• Burns
• DKA/HHS
• Dehydration

Question 13

Dose for normal saline for decompression illness?

Answer 13

If chest is clear:
1000mL normal saline over 15-20min.
Rpt @4h

Question 14

Dose for Adult burns if > 15yo?

Answer 14

If TBSA is > 15%:
TBSA x KG = V (mL) over 2h

Question 15

Dose for Adult burns if 12-15yo?

Answer 15

If TBSA is > 10%:
3 x TBSA x KG = V (mL) over 24h
Half given in first 8h

Question 16

To give fluids to a burns pt, what is the type of burn required?

Answer 16

Partial or full thickness

Question 17

How much fluid is given to a pt with less than adequate perfusion AND clinical features of DKA/HHS?

Answer 17

20mL/kg IV TTR

Question 18

What is the fluid dose for someone with LESS THAN ADEQUATE PERFUSION and DEHYDRATED?

Answer 18

For less than adequate perfusion:
40mL/kg IV
Consult for further doses.
If consult unavailable, rpt 20mL/kg

Question 19

What is the dose for someone who has ADEQUATE PERFUSION but SIGNIFICANT DEHYDRATION?

Answer 19

For significant dehydration:
20mL/kg IV given over 30/60

Question 20

What maternity guidelines use fluids?

Answer 20

• Antepartum haemorrhage
• PPH with SBP < 90mmHg

Question 21

What dose of fluid is given to a pt with antepartum haemorrhage?

Answer 21

Any clinical signs of altered perfusion:
40mL/kg IV TTR
Consult for further doses.
If consult unavailable rpt. 20mL/kg.

Question 22

For PPH with SBP < 90mmHg and FUNDUS FIRM, what is the dose of normal saline?

Answer 22

40mL/kg IV TTR.
Consult for further doses.
If consult unavailable, rpt. 20mL/kg